Table 1.
1. Gonadal dysgenesis | 2. Disorder of androgen synthesis | 3. Disorder of androgen action (androgen receptor defect) | 4. Leydig cell hypoplasia (LH receptor deficiency) | 5. Hypogonadotropic hypogonadism | 6. 5-Alpha-reductase deficiency | 7. Idiopathic without genetic testing | 8. Idiopathic with genetic testing | 9. Unclear | |
---|---|---|---|---|---|---|---|---|---|
AMH | Low | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Abnormalities in the biochemical results, which cannot be explained by one of the previous categories |
Testosterone | Low | Low | Normal or elevated | Low, precursors also low | Low | Normal or elevated | Normal | Normal | |
DHT after hCG stimulation | Low | Low | Normal or elevated | Low | Low | Low | Normal | Normal | |
Testosterone after hCG stimulation | Low | Low or intermediate with elevated precursors | Increased | Low | Increased DHT and testosterone | High ratio of testosterone/DHT | Normal | Normal | |
Presence of uterus on ultrasound | Yes | No | No | No | No | No | No | No |
AMH, anti-müllerian hormone; DHT, dihydrotestosterone; hCG, human chorionic gonadotropin.